| NPI | 1619460326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DICKSON President And CEO 312-922-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A05920005A) |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: IL A05920005A) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2022-01-11 |